Eyona nto iqhelekileyo, kodwa ivame ukukhuselwa
Ukuba usuvele uhlaselwa yintliziyo, usengozini enkulu yokubanjwa kwantliziyo ngokukhawuleza. Ukufa ekubanjweni kwantliziyo ngokukhawuleza emva kokuhlaselwa kwentliziyo, ngelishwa, into eqhelekileyo. Xa umntu engena ngokukhawuleza ukuboshwa kwentliziyo, ufuna ukutshatyalaliswa ngombane entliziyweni kunye ne-defibrillator ngokukhawuleza ngenxa yokuba amathuba okuphila ayancipha nganye ngeminithi, ekugqibeleni iholele ekufeni kokufa kwenyama.
Ibali eliqhelekileyo
Nali ibali i-cardiologist lizwile kaninzi:
UJohn, oneminyaka engama-56 ubudala, uhleli egumbini lokuhlala ejonga i-sitcom nomkakhe. UJohn akazange aholele ubomi obunempilo, kodwa intlungu yeenhliziyo eyayinayo inyanga edlulileyo imnike i-call-up call. "Unenhlanhla ngeli xesha, uYohane," ugqirha wakhe wamxelela. "Unomonakalo omkhulu wentliziyo, kodwa ipompu endala isasebenza ngokufanelekileyo. Ukuba ulungisa isenzo sakho, unethuba elihle lokubona ukuba umtsha omtsha uza kutshata ngolunye usuku."
Ngoko uYohane uqalise ukutya okunzulu, uqalise ukusebenzisa phantsi kweso iliso leprogram yokuvuselela inhliziyo yendawo, uthatha onke amayeza ugqirha wakhe umiselwe ukuba ancede intliziyo yakhe iphilise kwaye uncede ukukhusela enye intliziyo, kwaye kubaluleke kakhulu ukuba ukuyeka ukutshaya. Emva kwenyanga nje, sele elahlekile iipounds ezihlanu kwaye uhamba malunga neekhilomitha ngosuku. Uziva ungcono ngakumbi kwaye unamandla-kunokuba uneminyaka. Uhlala ehlala ekhanda lakhe elincinane kwaye emomothekayo. Uthi kumfazi wakhe, "Uyazi, ukuba ukuhlaselwa kwentliziyo kunokuya kuba enye yezinto ezilungileyo kakhulu ezenzeke kum."
Uphendule, "Akungabazeki ukuba ubhekiselele ekubeni awuzange uyenze ukukhwabanisa umsebenzi wendlu ngaphezu kwenyanga."
Ulindele ukubuyiswa kuYohn kodwa ayifumana. Ukhangela umyeni wakhe kwaye uyamangalisa ukubona ukuba uye wangena esihlalweni sakhe, engazi lutho. Imizamo yakhe yokumvusa ayiphumelelanga. Ngokukhawuleza ubiza i-911, kodwa naphezu kwemizamo yabagadi be-paramedics abafika ngaphantsi kwemizuzu engama-10 kamva, uYohn uyafa.
UJohn uye wabanjelwa intliziyo, kwaye ngenxa yokuzama ukumvuselela yayingasebenzi, isiqhelo saphela ekufeni kwakhe. Ukufa kwentliziyo ngokukhawuleza kubangelwa ngabantu abangama-325,000 abantu abadala eMelika ngamnye ngonyaka.
Ukufa kweCardia ngokukhawuleza
Uninzi lwabasexhoba lokufa ngokuphawuleza kwegazi lune-infarction ngaphambili (intliziyo yesifo) iiveki, iinyanga, okanye kwiminyaka ngaphambili. Ukuhlaselwa kwentliziyo, uhlobo olubi kakhulu lwe -coronary syndrome , luveliswa xa i-coronary artery ikhutshwe ngokukhawuleza, ngokuqhelekileyo ngenxa yokuphulukana kwepayipi yeconary, oku kubangela ukufa kwesahlulo senhliziyo.
Intlungu yenhliziyo ewonakalisiweyo igcina iphelisa ukuhlaselwa kwentliziyo, kodwa ihlala ivelisa isiqhekeza esisigxina. Inxalenye ebomvu yentliziyo ingaba yinkimbinkimbi yombane kwaye ukungazinzi kombane kunokuvelisa intliziyo esongela ubomi ebizwa ngokuba yi-tricycardia ye-ventricular (intliziyo yokuzila ngokukhawuleza), nto leyo ingakhokelela kwi-fibrillation ye-ventricular. Ngelishwa, la ma-arrhythmias ayenzeka ngokukhawuleza, kungekho naluphi na isilumkiso, kwaye abantu banokuzifumana nangona yonke into ibonakala ihamba kakuhle kwimbono yezokwelapha-njengokuba kwimbali kaYohane. I-arrhythmia inokukhokelela ekubanjweni kwentsapho ngokukhawuleza, okusoloko kubangela ukufa.
Ubungozi beCardiac ephawuleza emva kokuhlaselwa kwentliziyo
Umngcipheko wokubanjwa kwantliziyo ngokukhawuleza emva kokuba unesifo senhliziyo siphezulu phakathi kweenyanga ezintandathu emva kokuhlaselwa kwentliziyo yakho. Amashumi asixhenxe anesihlanu ekhulwini labantu ababethelelwe ngokukhawuleza kwintliziyo babenokuhlaselwa kwentliziyo kwangaphambili.
Umngcipheko omkhulu kunokwenzeka kubantu abaye basinda ekubanjweni komzimba kwaye baphinde baphinde baphumelele. Aba bantu bane-20 ekhulwini ithuba lokubanjwa komzimba. Umngcipheko uphezulu kakhulu kubantu abahlaselwa yintliziyo, kubangelwa ukuba iintlungu zentliziyo zivelisa ubuninzi beentlungu zenhliziyo.
I-Ejection Fraction
Enye imilinganiselo emihle ebonisa inani lokuqhawulwa yincithakalo ye- ejection , imilinganiselo yokujonga indlela intliziyo yakho iqhuma ngayo igazi. Unobunzima obuninzi, inxalenye engaphantsi kweqhekeza ejection. Emva kokuhlaselwa kwentliziyo, abo banesahlulo se-ejection ngaphezu kwama-40 ekhulwini (iqhekeza eliqhelekileyo le-ejection lingama-50 ekhulwini okanye ngaphezulu) kubonakala benomngcipheko ophantsi wokufa ngokukhawuleza. Umngcipheko wokufa ngokukhawuleza ukwanda ngamaqhekeza angaphantsi kwaye iphakamileyo kakhulu kunye namaxabiso angama-30 ekhulwini okanye ngaphantsi. Ngenxa yalesi sizathu, nabani na abanesifo senhliziyo kufuneka babe namaqhezu awo ejection.
Indlela Yokunciphisa Umngcipheko Wakho Wenhliziyo Ephawuleza Ukubanjwa Emva Kwentliziyo Yokuhlasela
Umngcipheko wokufa ngokukhawuleza emva kokuhlaselwa kwentliziyo kunokuncitshiswa kakhulu ngeentlobo ezimbini ezilandelayo:
- Unyango olululo lwezonyango kubandakanya i-blocka blockers, i-ACE inhibitors, kunye neyeza-statin.
- Ukuchonga abantu abasemngciphekweni omkhulu nangona unyango lwangonyango, kunye nokuqwalasela i- cardioverter defibrillator (i-ICD) enabantu.
Amachiza ekunciphiseni ubungozi bokubanjwa kweCardiac ngokukhawuleza
I-Beta-blockers, i-ACE inhibitors, kunye nama-statins baye baboniswa ukuba banciphise umngcipheko wokufa emva kwesifo senhliziyo. Nangona ubuninzi bokunciphisa ukufa kufana nokunciphisa amathuba okuphuhliswa kwentliziyo okanye ukuhlaselwa kweentliziyo, ezi nonyango ziyancipha ngokukhawuleza ingozi yokubanjwa kwenyama kunye nokufa ngokukhawuleza. Bonke abasinda kwiintliziyo kufuneka bafakwe kulezi ziyobisi ngaphandle kokuba kukho isizathu esihle kakhulu.
I-Cardioverter Defibrillator (ICD) eyenziwe ngokutsha ukunciphisa ingozi yeCardiac Carriage
Nangona kusetyenziswe unyango olunonyango, kwabanye abantu, umngcipheko wokufa ngokukhawuleza ngenxa yokubanjwa komzimba uhlala phezulu. Unokuba ngumviwa ofanelekileyo kwi-ICD ukuba kukho na oku kulandelayo:
- Unokubanjwa ngokukhawuleza kwentliziyo, ukuhlasela kwentliziyo, okanye i-arrhythmia ye-ventricular
- Unayo i-long QT syndrome
- Unesifo senhliziyo esiswini okanye ezinye iimeko ezingakhokelela ekubanjweni kwantliziyo ngokukhawuleza
Ucwaningo lwezonyango luye lwabonisa ukuba kuyo nayiphi na imeko, ukuba ne-ICD inokukunceda ukukhusela ngokukhawuleza ukuboshwa kwenyama.
> Imithombo:
> American Heart Association. I-Ejection Fraction Heart Failure Measurement. Ukuhlaziywa kwe-Oktobha 13, 2017.
> American Heart Association. Implantable Cardioverter Defibrillator (ICD). Ukuhlaziywa kweDisemba 21, 2016.
> Ikliniki yaseCleveland. Ukufa kweCardiac ngokukhawuleza (Ukubanjwa kweCaracac ngokukhawuleza): Izinto ezijongene nobungozi.
> Intliziyo yeSizwe, iLung, neSigqeba seGazi. Ukufa Kwenzeka Njani Ukugqithiswa Kwentliziyo Ekhuselekileyo Kukhuselwe? ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Ukuhlaziywa ngoJuni 22, 2016.